NACOR approved as QR and QCDR for 2022 MIPS reporting
January 07, 2022
NACOR News

NACOR approved as QR and QCDR for 2022 MIPS reporting

AQI's National Anesthesia Clinical Outcomes Registry (NACOR) was recently approved as a Qualified Clinical Data Registry (QCDR), as well as a Qualified Registry (QR), by the Centers for Medicare and Medicaid Services (CMS). This is the seventh year that NACOR has been approved as a QCDR by CMS, which allows physician anesthesiologists, qualified anesthesia providers, and other clinicians to report on quality measures that reflect their practices.

AQI posts 2022 QCDR measure specifications

CMS has approved AQI's QCDR measures for 2022. The 2022 QCDR Measure Specifications book includes lists of:

  • Measures CMS removed
  • Changes to measure specifications from 2021 to 2022
  • MIPS (QID) measures that are supported by AQI

If you have any questions, please email qra@asahq.org.

CMS MIPS Measures

CMS released the 2022 CMS MIPS Measure specifications. The specifications can be found on the Quality Payment Program website in the Resource Library.

For practices who have previously reported MIPS 44: Coronary Artery Bypass Graft (CABG): Preoperative Beta Blocker in Patients with Isolated CABG Surgery, please note that this measure has been retired by CMS and will no longer count towards MIPS reporting for the 2022 performance year.

Attesting to Improvement Activities via NACOR

Clinicians can attest to 2021 Improvement Activities using the provider list in the NACOR Dashboard. In this step-by-step tutorial, clinicians learn how to select the Improvement Activity to which they will attest through either the individual or group reporting option. For practices with multiple Tax ID Numbers (TIN), make sure the correct TIN is listed in the drop-down menu before attesting to the activity.

As participants of NACOR, practices can attest to activity IA_PSPA_1: Participation in an AHRQ-listed patient safety organization. This is a medium-weighted activity worth 10 points. Practices also must document the date range that the Improvement Activity was performed in the practice list in the NACOR dashboard. For more information, email askaqi@asahq.org.

To earn full credit for the Improvement Activity Component, you must earn 40 points. Medium-weighted IAs are worth 10 points and high-weighted activities are worth 20 points. If the practice or clinician qualifies for a special status, these points may be doubled.

Ready to submit data? Activate FTP account

For security reasons, all FTP accounts (for those who upload data to NACOR) will be disabled if no activity occurs within a 90-day window. If your practice is ready to start submitting data, you may not have access to log in to the FTP.

If you suspect your account has been disabled due to inactivity, submit a help desk ticket by emailing NACORSupport@asahq.org. FTP access has no impact on user access to the NACOR dashboard.

First MIPS reporting deadline January 31

The first 2021 MIPS reporting deadline is January 31, 2022. The following items are due to NACOR on this date:

  • Data from January – November 2021. Practices are encouraged to upload data files prior to the deadline to allow time for review and to submit corrected files if any errors are identified.
  • Attesting to 2021 Improvement Activities, including date ranges that the activities were performed.
  • Reconciliation of provider lists ensuring all NPIs are assigned the proper provider type (MD-Anesthesia, CRNA, DO, AA, SRNA, Resident, etc.).
  • Provider consents for clinicians reporting as individuals.

Email askaqi@asahq.org with any questions.

2021 Reporting Deadlines

NACOR Registration: October 1, 2021

January through November 2021 data submission: January 31, 2022

Individual Quality Reporting Consent Submission: January 31, 2022

Improvement Activity Attestation: January 31, 2022

CMS Opt-Out for Individual Reporting: January 31, 2022

TIN/NPI Reconciliation: January 31, 2022

All data submissions: February 15, 2022

Contact AQI

Register: qcdr@asahq.org

NACOR Dashboard support: NACORSupport@asahq.org

Ask AQI: AskAQI@asahq.org



ANESTHESIA QUALITY INSTITUTE | 1061 American Lane | Schaumburg, IL 60173